Amber Nicole Fluitt, MSN, RN, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1041045 Issued in TX

Practice address

475 Elm St Ste 100
Lewisville, TX 75057-3764

Phone

(214) 222-3571

Fax

(214) 222-3601

NPI assigned

May 25, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dallas Pulmonary and Critical Care PAGroup PAC ID 2163679200, 186 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical City Lewisville Hospital, Lewisville, TX, CCN 450669
• Methodist Southlake Medical Center Hospital, Southlake, TX, CCN 670132

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dallas Pulmonary & Critical Care PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Dallas, TX
  • NPI 1235402728

  Acute Care

  Medicare reassignment Care Compare group NPD
• CMSC, LLC

  • General Acute Care Hospital
  • Great Falls, MT
  • NPI 1639109978
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Lewisville Subsidiary LP

  • General Acute Care Hospital
  • Lewisville, TX
  • NPI 1255384533
  Care Compare affiliation
• Methodist Hospitals of Dallas

  • General Acute Care Hospital
  • Southlake, TX
  • NPI 1568818417
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1407421035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ELM ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573764",
            "telephone_number": "214-222-3571",
            "fax_number": "214-222-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 ELM ST STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573764",
            "telephone_number": "214-222-3571",
            "fax_number": "214-222-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4541 Jaylin St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762449030",
            "country_code": "US",
            "telephone_number": "817-408-0148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6750 N MacArthur Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392476",
            "country_code": "US",
            "telephone_number": "214-222-3571",
            "fax_number": "214-222-3601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLUITT",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "MSN, RN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1041045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acute Care Nurse Practitioner in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.